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Home >
Government Services >
Health Plans
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HEALTH PLAN SERVICES
Healthcare is one of the largest industries in the United States and is
constantly evolving. Perficient's dedication to process and quality improvement,
cost reduction and consumer-driven healthcare helps payors to remain
competitive. Our healthcare experience and business process modeling enable us
to improve health plan operational performance, automate member management
processors and boost overall benefit coordination and support. We focus on the
seamless integration of plan and benefit coordination and user experience areas
to more effectively run your organization.
Expertise
Health plan operational performance improvement
Process and quality improvement: Business intelligence, knowledge management,
reporting, dashboards
Consumerization of healthcare and health plan models
Member, provider, sponsor/employer and broker portals
HIPAA, NCQA and CMS (Medicare & Medicaid) compliance
EDI integration (X12, NCPDP & proprietary)
Provider and member management services
Service carve-out coordination (vision, dental, PBM, behavioral health/EAP)
Perficient utilizes a comprehensive framework to assess organizations. Some of
our solutions include: Project Roadmaps and Plans, Gap Analysis, Consumer Readiness Assessments
(PEMMSM), Enterprise Software Selection (FIT2) and Systems Development.
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